1-22-24 RCM Speaker FormsCITY OF ATLANTIC BEACH
IF YOU WISH TO ADDRESS THE CITY COMMISSION ON ANY MATTER AT THIS MEETING,
PLEASE COMPLETE AND GIVE THIS FORM TO THE CITY CLERK PRIOR TO THE
MEETING.
Date: Name: ke#n G 14 —%S Qr—
Please Note: Florida has a very broad Public Records Law. Most written and recorded
communications to or from State and Local Officials and agencies regarding State or Local
business are public records available to the public and media upon request.
PROVIDING YOUR CONTACT INFORMATION BELOW IS OPTIONAL:
Address:
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) ..3 Z2..:
Phone #:Cq� 7 2 62 Email: Ic �52r' f T
PERSON OR COMPANY THAT YOU REPRESENT (IF APPLICABLE):
AGENDA ITEM #
OR SUBJECT TO BE DISCUSSED (DESCRIBE BELOW)
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CITY OF ATLANTIC BEACH e1 or U2 -
IF YOU WISH TO ADDRESS THE CITY COMMISSION ON ANY MATTER AT THIS MEETING,
PLEASE COMPLETE AND GIVE THIS FORM TO THE CITY CLERK PRIOR TO THE
MEETING.
Date: 2,0 L3 Name:
Please Note: Florida has a very broad Public Records Law. Most written and recorded
communications to or from State and Local Officials and agencies regarding State or Local
business are public records available to the public and media upon request.
PROVIDING YOUR CONTACT INFORMATION BELOW IS OPTIONAL:
Address: gp q+3 �v` c
Phone #• Email: J �� `
PERSON OR COMPANY THAT YOU REPRESEN (IF APPLICABLE):
AGENDA ITEM # OR SUBJECT TOB ISCUSSED (DESCRIBE BELOW)
WELCOME CCF 0
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic process
deserves. This allows for better public input and supports making the best decisions for the citizens who we are here
to serve. We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
Date
SPEAKER REQUEST FORM
Name: i E Ea�,o1�
Please Note: Florida has a very broad Public Records Law. Most written and recorded
communications to or from State and Local Officials and agencies regarding State or Local business
are public records available to the public and media upon request.
PROVIDING YOUR CONTACT INFORMATION BELOW IS OPTIONAL:
Address:�44'�__ ��7 City:
Phone No.: '! `�`/ L/ / Ismail:
---------------------------------------------------
PLEASE CHECK ALL THAT APPLY:
--------------------------------------
(OPTIONAL)
❑ Atlantic Beach Resident ❑ Atlantic Beach Property Owner ❑ Atlantic Beach Business Owner
---------------------------------------------------------------------------------------------------------------------------------------------
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
❑ I wish to address the Commission during Courtesy of the Floor on:
❑ Agenda Item No.
and/or
❑ Topic not on the agenda:
❑ I wish to address the Commission during the Public Hearing for Agenda Item No.
❑ I am in support of the above agenda item.
❑ I am opposed to the above agenda item.
❑ I do not wish to address the Commission, but I am in support of agenda item
❑ I do not wish to address the Commission, but I am opposed to agenda item
WELCOME COF O
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic process
deserves. This allows for better public input and supports making the best decisions for the citizens who we are here
to serve. We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
SPEAKER REQUEST FORM
Date: �'2 Zl2 Name:
Please Note: Florida has a very broad Public Records Law. Most written and recorded
communications to or from State and Local Officials and agencies regarding State or Local business
are public records available to the public and media upon request.
PROVIDING YOUR CONTACT INFORMATION BELOW IS OPTIONAL:
Address
Phone No.: E-mail:
City:
---------------------------------------------------------------------------------------------------------------------
PLEASE CHECK ALL THAT APPLY: (OPTIONAL)
*Atlantic Beach Resident ❑ Atlantic Beach Property Owner ❑ Atlantic Beach Business Owner
------------------------------------------------------------------------------------------------------------------------------------------------------------
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
Ywish to address the Commission during Courtesy of the Floor on:
❑ Agenda Item No.
and/or
XTopic not on the agenda:
M 1z
❑ I wish to address the Commission during the Public Hearing for Agenda Item No.
❑ I am in support of the above agenda item.
❑ I am opposed to the above agenda item.
❑ I do not wish to address the Commission, but I am in support of agenda item
❑ I do not wish to address the Commission, but I am opposed to agenda item
WELCOME Co r 0
To the Atlantic Beach City Commission Meeting
We will conduct meetings of the City Commission with a level of civility and respect that the democratic process
deserves. This allows for better public input and supports making the best decisions for the citizens who we are here
to serve. We ask that everyone in the meeting practice the following principles of Respect for each other.
RESPECT
Refrain from putdowns, criticism and personal attacks.
Encourage others to state their views.
Support each other, even if you don't agree.
Practice active listening.
Express yourself assertively, not aggressively, not submissively.
Collaborate, do not compete or collude.
Trust each other, unless and until such trust is violated.
SPEAKER REQUEST FORM _
Date: � '� �- Name: D l J �?1ar) YZ�
►° D�-
Please Note: Florida has a very broad Public Records Law. Most written and recorded
communications to or from State and Local Officials and agencies regarding State or Local business
are public records available to the public and media upon request.
PROVIDING YOUR CONTACT INFORMATION BELOW IS OPTIONAL:
Address: City:
Phone No.: E-mail:
----------------------------------------------------------------------------------------------------------------------------------------------
PLEASE CHECK ALL THAT APPLY: (OPTIONAL)
4 Atlantic Beach Resident ❑ Atlantic Beach Property Owner ❑ Atlantic Beach Business Owner
------------------------------------------------------------------------------------------------------------------------------------------------------------
PLEASE COMPLETE AND CHECK ALL THAT APPLY:
❑ I wish to address the Commission during Courtesy of the Floor on:
❑ Agenda Item No.
and/or
a," Topic not on the agenda: Co.
❑ I wish to address the Commission during the Public Hearing for Agenda Item No.
❑ I am in support of the above agenda item.
❑ I am opposed to the above agenda item.
❑ I do not wish to address the Commission, but I am in support of agenda item
❑ I do not wish to address the Commission, but I am opposed to agenda item
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Xr,5k-
CITY OF ATLANTIC BEAc:ri Co
F 0
IF YOU WISH TO ADDRESS THE CITY COMMISSION ON ANY MATTER AT THIS MEETING,
PLEASE COMPLETE AND GIVE THIS FORM TO THE CITY CLERK PRIOR TO THE
MEETING.
Date: -I Name:
Please Note: Florida has a very broad Public Records Law. Most written and recorded
communications to or from State and Local Officials and agencies regarding State or Local
business are public records available to the public and media upon request.
PROVIDING YOUR CONTACT INFORMATION BELOW IS OPTIONAL:
Address:
Phone 00 - yo ' oup Email: (' � @ ►�) NG -�4
PERSON OR COMPANY THAT YOU REPRESENT (IF APPLICABLE):
AGENDA ITEM #
OR SUBJECT TO BE DISCUSSED (DESCRIBE BELOW)
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